Maya Sandbhor

About Maya Sandbhor

Conducting over 5+ years of experience in Healthcare Process Transactions, it deals with managed care services exclusively for government-sponsored healthcare programs with an emphasis on Medicaid and Medicare.US healthcare claims support in the areas of claims adjudication and adjustment.Customer Data Management -System IntegrationBusiness Process OptimizationPricing and Contract ManagementTraining and User SupportSystem Customization and ConfigurationBusiness Analytics and ReportingProject ManagementRegulatory ComplianceClient Relationship ManagementLed end-to-end implementation projects for multiple clients, resulting in improved revenue management processes and increased operational efficiency.Conducted in-depth analysis of client business processes, identified areas for improvement, and recommended strategic enhancements using Model N capabilities.Successfully integrated Model N with clients\' existing systems, ensuring seamless data migration and minimal disruption to business operations.Customized and configured Model N modules to align with client\'s specific needs, including pricing, contract management, and revenue forecasting.Provided comprehensive training to client teams on Model N functionality, best practices, and system usage, resulting in high user adoption rates. Good Problem solving skillsNumerical ability, critical thinking, ability to interpret insurance contractsExcel Dashboards and Reporting

Experience

1. Analyst

   EVERSANA

   Dec 2021 — Present · Pune, IN

   Process high volume of rebate payments, typically within tight and defined timeframes;•Analyze documents, validate and process State Medicaid rebate invoices, avoiding late payments and identifying and properly disputing claim and invoice errors;•Provide insight with in-depth analytics and reporting to internal and external parties; Provide evidence of compliance for internal and external audits;•Responsible for identifying and assisting with system updates regarding supplemental contracts, and assisting with review, documentation, and formalization of Government Pricing Policies and Standard Operating Procedures;•Ability to identify areas for process and systems innovation and implement change that will enhance the overall effectiveness of the team;•Demonstrated proficiency in and specific knowledge and experience within US healthcare industry, Federal and State Government program administration (Medicare, Medicaid), and managed healthcare in the US;•Partner with Government Pricing (GP) organization and Automation to migrate new clients to in-house applications.

Education

• Deccan Education Societys Fergusson College, (Arts, Science), Pune

  Msc

  2015 — 2017